Author Question: The nurse is working in the NICU and is caring for an infant who weighs 500 grams. The child is ... (Read 94 times)

cabate · **on:** Jul 22, 2018

The nurse is working in the NICU and is caring for an infant who weighs 500 grams. The child is being monitored, and has several electrodes on the chest.

The nurse is unable to hear the apical pulse through the electrodes, and does not want to remove the electrodes and damage the infant's skin. The nurse checks the infant's pulse at which of the following sites? 1. Brachial artery
2. Radial artery
3. Pedal artery
4. Jugular artery

Question 2

The nurse is preparing a client for discharge from the acute care facility.

The client's daughter says her mother had two small fires within the past six months because she would heat food on the stove and forget it was there, and sometimes forgot to eat for several days at a time. The client is unsteady on her feet, and needs assistance getting out of the chair. The nurse suggests to the client and family that what type of placement might improve client safety? 1. Skilled care facility
2. Custodial care facility
3. 24-hour home care
4. Rehabilitation facility

Natalie4ever · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1
Rationale: The brachial artery would be the best choice for this infant if the apical pulse were not an option. The radial and pedal arteries might not have enough pressure to adequately assess. The jugular is a vein, not an artery.

Answer to Question 2

2
Rationale: The client might benefit from placement in a custodial care facility to assist the client in meeting daily needs. The client has no need for skilled nursing care, and it is unlikely the client would benefit from rehabilitation, because it will not improve the client's memory deficit. 24-hour home care is very expensive, and it is unlikely they will receive third-party reimbursement for this.